Individual provider Active NPI

Madison Marissa Klingman, LISW

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1760143945
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5204 Mahoning Ave Ste 105
Youngstown, OH 44515-1808
Phone
(330) 797-0036
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5204 Mahoning Ave Ste 105
Youngstown, OH 44515-1808

Mailing address

5204 Mahoning Ave Ste 105
Youngstown, OH 44515-1808
Phone (330) 797-0036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610002782 OH Practitioner - Clinical Social Worker 7214447044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Counseling Solutions LLCGroup PAC ID 2860799459, 11 clinicians

Practice addresses (Care Compare)

5204 Mahoning Ave
Suite 105
Youngstown, OH 44515-1808
Phone (330) 797-0036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Solutions LLC CurrentSince May 29, 2025 Accepting new patients
Glenbeigh PastSince Jan 1, 2022 Accepting new patients

Locations

5204 Mahoning Ave
Ste 105
Youngstown, OH 44515
Phone (330) 797-0036

1025 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 629-2434

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1760143945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 MAHONING AVE STE 105",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445151808",
            "telephone_number": "330-797-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 MAHONING AVE STE 105",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445151808",
            "telephone_number": "330-797-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGMAN",
        "first_name": "MADISON",
        "middle_name": "MARISSA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.